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Management of post traumatic stress disorder after childbirth: a review.

机译:分娩后创伤后应激障碍的管理:审查。

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摘要

Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.
机译:分娩后创伤后应激障碍(PTSD)发展的患病率和危险因素在文献中已有很好的描述。但是,其管理和治疗才刚刚开始被调查。本文的目的是描述研究,以检查干预措施对分娩后PTSD的影响。系统地搜索MedLine,PILOTS,CINAHL和ISI Web of Science数据库,以使用与PTSD,分娩,治疗和干预相关的关键词进行随机对照试验,先导研究和案例研究。检索到的文章的参考列表也用于补充搜索。总共检索了九项研究。确定了七项检查报告或咨询研究。六项随机对照试验和一项试点研究。还发现了一个病例报告,描述了认知行为疗法(CBT)对两名女性的影响,以及一项对眼睛运动脱敏和再加工(EMDR)的试点研究。总体而言,关于分娩后创伤后应激障碍妇女管理的证据有限。结果与非分娩相关文献的结果一致:汇报和咨询并没有最终结论,而CBT和EMDR可能会改善PTSD的状况,但需要在对照试验中进行调查才能得出结论。

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